Healthcare Provider Details
I. General information
NPI: 1982651659
Provider Name (Legal Business Name): PAUL DEAN STEINMAN JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/28/2006
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8591 HOLLY MEADOWS ROAD
PARSONS WV
26287
US
IV. Provider business mailing address
8591 HOLLY MEADOWS ROAD
PARSONS WV
26287
US
V. Phone/Fax
- Phone: 304-478-3339
- Fax: 304-478-3311
- Phone: 304-478-3339
- Fax: 304-478-3311
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 34-004918 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 1293 |
| License Number State | WV |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 1293 |
| License Number State | WV |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | 1293 |
| License Number State | WV |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | 34-004918 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: